This article is to explore the effects of Naikan cognitive therapy on job burnout, self-efficacy, and general well-being of psychiatric staffs. From May 2023 to April 2024, 100 psychiatric staffs from a psychiatric hospital in Suzhou were selected as research subjects and randomly divided into an observation group and a control group, each consisting of 50 cases. The observation group was intervened with NCT while the control group received standard psychological guidance. Before and after the intervention, MBI-HSS、GSES and GWB were administered to all subjects. Before the intervention, there were no significant differences in general conditions and assessment indicators between two groups. After the intervention, the emotional exhaustion and depersonalization factor scores of the observation group's MBI-HSS were significantly lower than before the intervention (t=29.683, 31.857, both P <0.05), and the observation group's scores were significantly lower than the control group's (t=-8.437,- 5.280, both P <0.05); the personal accomplishment factor score was significantly higher than before the intervention (t=-59.544, -11.855, P<0.05), and the observation group's score was significantly higher than the control group's (t=-8.113, P<0.05); the observation group's post-intervention GSES score was significantly higher than before the intervention (t=-17.538, P<0.05), and the observation group's score was significantly higher than the control group's (t=4.225, P<0.05); the observation group's post-intervention GWB score was significantly higher than before the intervention (t=-38.986, P<0.05), and the observation group's score was significantly higher than the control group's (t=13.199, P<0.05). NCT can significantly reduce the level of job burnout among psychiatric staffs, and enhance their self-efficacy and general well-being levels. 

Feng Xiujuan, Wang Xuqin. Effect of Naikan cognitive therapy on job burnout, self-efficacy, and general well-being of psychiatric staffs. Academic Journal of Medicine & Health Sciences (2025), Vol. 6, Issue 9: 114-119. https://doi.org/10.25236/AJMHS.2025.060917.

[1] Maslach C, Jackson SE. The measurement of experienced burnout[J]. J Occupat Behav, 1981, 2(2): 99-113. DOI: 10. 1002/job.4030020205.

[2] Schwarzer R. Optimistic self-beliefs: Assessment of general perceived self-efficacy in thirteen cultures[J]. World Psychology, 1997, 3(1) : 177-190. 

[3] FENG Zhiyuan, XIA Mei, XIE Yan, et al. Association Among Work Pressure, Psychological Capital, and Job Burnout in Psychiatric Nurses in Nanning[J]. Journal of Environmental and Occupational Medicine, 2016, 33(11): 1069-1075. DOI: 10.13213/j.cnki.jeom.2016.16290.

[4] WU Jijun, RONG Xian, LIU Zhenfan, et al. Relationship between occupational coping self-efficacy and health-related productivity loss in ICU nurses:path analysis of perceived social support[J]. Sichuan Mental Health, 2024, 37(1): 77-82. DOI:10.11886/scjsws20221229009.

[5] YANG Meng, LIANG Ruiqiong, LI Jialing, et al. Research on the relationship between self-efficacy and occupation burnout of medical staff[J]. Soft Science of Health, 2018, 32(2): 61-65. DOI: 10.3969/j.issn.1003-2800.2018.02.001.

[6] Ed Diener, Katherine Ryan. Subjective Well —Being: A General Overview[J]. Southb African Journal of Psychology, 2009, 39(4) : 391-406. 

[7] Rössler W. Stress, burnout, and job dissatisfaction in mental health workers[J]. Eur Arch Psychiatry Clin Neurosci, 2012, 262(2): S65-S69. DOI: 10.1007/s00406-012-0353-4. 

[8] Jiang F, Hu L, Rakofsky J, et al. Sociodemographic Characteristics and Job Satisfaction of Psychiatrists in China: Results From the First Nationwide Survey[J].  Psychiatr Serv, 2018, 69(12): 1245- 1251. DOI: 10.1176/appi.ps.201800197.

[9] SONG Hongtao, JIAO Dongliang, WANG Lijin. A comparative study of work status and job burnout between psychiatrists and non-psychiatrists[J]. Psychologies Magazine, 2022, 17(14): 35-37. DOI: 10.19738/j.cnki.psy.2022.14.011.

[10] ZHOU Li, ZHANG Bingkui, KANG Jianhua. Job burnout of front-line medical staffs in psychiatric hospital[J]. China Journal of Health Psychology, 2019, 27(10): 1529-1531. DOI: 10.13342/j.cnki.cjhp.2019.10.003.

[11] HUANG Xiaoxia, ZHU Jinjun, DU Xiangdong. Surveys of job burnout among medical staffs of 12 psychiatric hospitals in Jiangsu [J]. Journal of Clinical Psychosomatic Diseases, 2017, 23(3): 94-97. DOI: 10.3969/j.issn.1672-187X.2017.03.032-0094-04.

[12] KANG Yanhai, SHENG Li. Analysis of mental health survey results and influencing factors of psychiatric medical staff[J]. Chinese Science and Technology Journal Database (Abstract Edition) Medicine and Health, 2023(7): 22-24.

[13] DEWAC S, LOONG D, BONATO S,et al. The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review[J]. BMJ Open, 2017, 7(6):e015141.

[14] MAO Fuqiang. Research Progress of NaiKan Cognitive Therapy [J]. China Journal of Health Psychology, 2014, 22(2): 316-320. DOI: 10.13342/j.cnki.cjhp.2014.02.061.

[15] MAO Fuqiang. The theory and practice of Naikan cognitive therapy[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2016, 25(7): 650-656. DOI: 10.3760/cma.j.issn.1674-6554.2016.07.017.

[16] CHEN Yao, NIE Chencong, BU Wei, et al. Reliability and validity of the Chinese version of the Burnout Clinical Subtypes Questionnaire[J]. Modern Nurse (Mid-month), 2023, 30(7): 11-17. DOI: 10.19792/j.cnki.1006-6411.2023.20.003.

[17] WANG Caikang, HU Zhongfeng, LIU Yong. Evidences for Reliability and Validity of the Chinese Version of General Self Efficacy Scale[J]. Chinese Journal of Applied Psychology, 2001, (1): 37-40. DOI: 10.3969/j.issn.1006-6020.2001.01.007.

[18] FAZIO A F. A concurrent validational study of the NCHS General Well-Being Schedule[J]. Vital Health Stat, 1977(73): 1-53. 

[19] DUAN Jianhua. Overview of subjective well-being [J]. Advances in Psychological Science, 1996, 4(1): 46-51.

[20] LV Xue. Evaluation of the effect of Naikan therapy intervention on occupational burnout of nursing staff [J]. Journal of Practical Gynecologic Endocrinology, 2018, 5(18): 139, 141. ISSN.2095-8803.2018.18.139.02.

[21] LI Xiao, CHE Qun, SUN Yuexia. Evaluation of the effect of Naikan therapy intervention on occupational burnout of psychiatric nurses [J]. China Health Care & Nutrition, 2017, (23): 82-83.

[22] HUANG Xiaoxia, DU Xiangdong. Research progress on job burnout of psychiatric medical staff in China and abroad[J]. Journal of Neuroscience and Mental Health, 2020, 20(3): 199-203. DOI: 10.3969/j.issn.1009-6574.2020.03.010.

[23] WANG Yuxuan, MAO Fuqiang, PENG Yueyue, et al. Study of the interventions and mechanisms of the Naikan cognitive therapy on anxiety levels,self-efficacy and coping styles of medical students[J]. China Journal of Health Psychology, 2024, 32(5): 781-787. DOI: 10.13342/j.cnki.cjhp.2024.05.026.

[24] WANG Chongjian, ZHANG Yujiao. The effect of vipassana cognitive therapy on elderly patients with depression[J]. Journal Of International Psychiatry, 2024, 51(2): 629-630, 634. DOI: 10.13479/j.cnki.jip.2024.02.058.

[25] MA Qiaoying, JING Xiaoli. Application Effect of Vipassana Cognitive Therapy in the Nursing of Patients with Generalized Anxiety[J]. Henan Medical Research, 2021, 30(22): 4204-4206. DOI: 10.3969/j.issn.1004-437X.2021.22.057.

[26] PU Dan. Practice of Naikan therapy in enhancing teachers' well-being [J]. Tianjin Education, 2019(35): 52-53.